Sports Medicine Book

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Knee Brace

Aka: Knee Brace
  1. Epidemiology
    1. Incidence of Knee Injury
      1. Annual: 6-22%
      2. Four years of play: 50%
      3. Occurs in 6-22% of players each year
    2. Common injuries
      1. Medial Collateral Ligament injury most common
      2. Terrible triad
        1. Medial Collateral Ligament (MCL)
        2. Anterior cruciate ligament (ACL)
        3. Medial meniscus
  2. Preparations: Prophylactic brace
    1. Design
      1. Titanium bar with added stiffness
    2. Advantages
      1. Allows normal Range of Motion
      2. Not dangerous to others
    3. Disadvantages
      1. Expensive
    4. Indications
      1. Prevent injury to Medial Collateral Ligament (MCL)
    5. Efficacy
      1. Unproven benefit
  3. Preparations: Rehabilitation Brace Design
    1. Hinges like Prophylactic brace
    2. Controls Range of Motion
      1. Has adjustable stops that limit ROM
    3. Does not migrate distally
  4. Preparations: Functional Knee Brace
    1. Indication
      1. Tries to control rotation in the ACL deficient knee
    2. Disadvantages
      1. Needs extensive rehabilitation program with brace use
      2. May not be able to return to cutting sports
    3. Efficacy
      1. Unproven benefit
      2. Off the shelf may be as effective as custom fit
  5. References
    1. Paluska (2000) Am Fam Physician 61(2): 411-18 [PubMed]

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